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Okemos Public Schools
Guest Speaker Recommendation
For Sexual Health Education, Reproductive Health, Family Planning, etc.
Return completed form to Supervisor of Reproductive Health, Chippewa Middle School
Name of Teacher
Name of Class
Name of recommended Speaker
Phone
Address
Credentials of Speaker
Topics and Relevancy to Okemos Sexual Health Education Curriculum
Speaker recommendation reviewed by the Okemos Health and Sex Education Advisory Board on (date)
__________________________________________________________________________________
- Speaker was approved • Speaker was not approved